20131132 Ver 1_401 Application_20131013

IRAN I EL J. B LI LEY SOIL AND LAND USE CONSULTANT
614 SOUTH SECOND STREET SMITHFIELD, NORTH CAROLINA 27577 (919) 934 -8610
October 15, 2013
20131 132
Ms. Karen Higgins
NC DEN- WBSCP Unit
1650 Mail Service Center
Raleigh, North Carolina 27699 -1650
Ms. Higgins,
Attached with this letter is a PCN concerning buffer impacts for a bridge to be constructed over
Moccasin Creek near the Town of Pine Level in Johnston County by Mr. Robert Wool, the property
owner. I discussed this project with Sara Knies, who provided some guidelines for completing the
application.
Please call me if you have any questions or if you discover any omissions in the application Also my
client, Mr. Wool, would like to begin construction as soon as possible. Could you provide some kind of
time line for this approval request? You can reach me at 919 -612 -3539.
Thank You
f
D
Licensed Soil entist
SOIL MAPPING • SITE INVESTIGATION • LAND RESOURCE DATA EVALUATION
Licensed Soil Scientist

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CONSTRUCTION PLAN
MOCCASIN CREEK BRIDGE
ROBERT WOOL PROPERTY
1. Lay out the boundaries for the bridge foot print on the ground including the specific location
for the concrete pads as well as the proposed channels to be cut in natural soil for the I- beams.
at the site identified on the attached sketch map.
2. Excavate the area (14'X Y X 36') for the location of the concrete support pads using small
excavator or backhoe. Remove excavated soil materials from buffer zone.
3. Pour 8" concrete pad with reinforcing rebar steel.
4. Allow to cure in the open pits for approximately 2 weeks.
S. Excavate channels in natural soil for the location of the I4muns taking care to not disturb the
soil or vegetation in the zones between I-beam channels
6. Install 14x mm using a large tracked excavator or crane if necessary. In natural soil zone back
fill void spaces of I -beams with soil material using small hand tools.
7. Use concrete to fill in between the I -beams in the area above the existing the cured concrete
pad.
8. Allow a few days for the new concrete to cure.
9. Install wooden bed for the bridge including railings (which are not shown on the attached
plan). Avoid any deposition of debris into the stream channel especially treated wood
materials. Paint of other coating should be applied before installation of wooden structural
per•
10. Contractor needs to be instructed that the stream is a protected feature and care should be
taken to avoid discharges of any un- natural materials into the channel.

Proposed Bridge
4don
Droposed Bridge Site
Client: Robert Wool Daniel J. Bliley
CADFtle: Wool Soils and Land Use Consultant
Scale:
1" = 300' 614 South Second Street - Smithfield NC 27577
Datebctober 15, 2013 Phone/Fax: [phone] - Email: dblileyI @nc.rr.com

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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre - Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1a. Type(s) of approval sought from the Corps:
❑ Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: or General Permit (GP) number.
1 c. 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
1e. 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 ❑ 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 looted 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
Robert Wool Farm
2b. County:
Johnston
2c. Nearest municipality / town:
Pine Level
2d. Subdivision name:
na
2e. NCDOT only, T.I.P. or state project no:
3. Owner Information
3a. Name(s) on Recorded Deed:
Robert and Evelyn Wool
3b. Deed Book and Page No.
Book-01729 Page-0328
3c. Responsible Party (for LLC if
applicable):
3d. Street address:
330 North Peedin Avenue
3e. City, state, zip:
Pine Level, North Carolina 27568
3f. Telephone no.:
203. 617 -5309
3g. Fax no.:
3h. Email address:
I robertcwool @yahoo.com
Page 1 of 10
PCN Form — Version 1.4 January 2009

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
262415 -53 -9184
1b. Site coordinates (in decimal degrees):
Latitude: 35.30902 Longitude: 79.14329
1c. Property size:
31.74 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project
Moccasin Creek
2b. Water Quality Classification of nearest receiving water:
QNSW
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:
Moccasin Creek, which Is part of an old agricultural drainage project flows through the property. Property on south side Is in pasture and a mixture of
pasture and open woodland on the north side.
3b. List the total estimated acreage of all existing wetlands on the property:
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 2,240
3d. Explain the purpose of the proposed project
Construct a combination metal and wooden bridge across Moccasin Creek to provide access to the pasture areas for livestock on the north side strearr
3e. Describe the overall project in detail, including the type of equipment to be used:
See attached sketch for design. Small excavator and large excavator plus hand tools (shovels) as needed to place I -Beams and conaste pads.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project includin all prior phases) in the
❑ Yes ® No ❑ Unknown
Comments:
4b. If the Corps made the jurisdictional determination, what type
of determination was made?
❑Preliminary ❑ Flnal
4c. If yes, who delineated the jurisdictional areas?
Name (if known):
Agency /Consultant Company:
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
this project (including all prior phases) in the past?
❑Yes I@ No [3 Unknown
5b. If yes, explain in detail according to 'help file' instructions.
8. Future Project Plans
6a. Is this a phased project?
❑ Yes Cl No
6b. If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009

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.
Wetland impact
number
Permanent (P) or
Temporary
2b.
Type of impact
C.
Type of wetland
2d
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 -
Choose one
Choose one
Yes/No
-
W2 -
Choose one
Choose one
Yes/No
-
V1f3 -
Choose one
Choose one
Yes/No
-
W4 -
Choose one
Choose one
Yes/No
-
W5 -
Choose one
Choose one
Yes/No
-
WS -
Choose one
Choose one
Yes/No
-
2% 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.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1
S2 -
Choose one
-
-
S3 -
Choose one
_
S4 -
Choose one
-
-
S5 -
Choose one
_
-
Se -
Choose one
-
-
3h. Total stream and tributary
impacts
3i. Comments:
Page 4 of 10
PCN Form — Version 1.4 January 2009

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Site selected where channel wkhh was at a minimum with a perpendkxrlar crossing.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Excavation for concrete pads will be at least three feet from edge of stream bank. Channels cut In natural soil for I -Beams will be excavated by hand
tools. Soil will be back4illed around the I -beams In natural soil area. Excess soil from pad excavation will be removed from the buffer zone. Uncured
concrete will not be exposed to the stream channel.
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
❑ Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete it Usina a Mitkuftn Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c. Comments:
4. Complete If Makina a Payment to In -lieu Fee Prouram
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
Choose one
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:
& Complete N Using a Permittes 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 1.4 January 2009

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
JJ Yes ® No
buffer mitigation?
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
6c.
6d.
6e.
Zone
Reason for Impact
Total impact
Multiplier
Required mitigation
(square feet)
(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).
8h. Comments: No mitigation required under 15A NCAC 02S.0233
Page 7 of 10

E. Stormwater Management and DHfuse 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? H no, explain why.
Installation of and use of bridge will not generate any runoff that would need to be dispersed. Soll
❑ Yes ® No
materials removed for concrete pads will be disposed outside of buffer zone.
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
%
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:
2e. Who will be responsible for the review of the Stormwater Management Plan?
3. Certified Local Government Stormwater Review
3a. In which local ovemment'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 Supply Watershed
❑ Other.
3c. Has the approved StDrmwater 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):
BSession Law 2006 -246
❑Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
& DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan most the appropriate requirements?
❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page S of 10
PCN Form — Version 1.4 January 2009

F. Supplementary Information
1. Environmental Documentation (DWO Requirement)
la. Does the project involve an expenditure of public (federal/state/local) fund or the
❑ Yes ❑ No
use of public (fedemYstate) 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
Oyes ❑ 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:
2. Violations (DWO Requirement)
2a. Is the site in violation of DWO Wetland Rules (15A NCAC 21-1.0500), Isolated
Weiland Rules (15A NCAC 2H .1300), DWO Surface Water or Weiland Standard,
❑Yea ® No
or Riparian Buffer Rules (15A NCAC 2B.0200)?
2b. Is this an after- the4act permit application?
Oyes ® 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. WIII 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 (DWO Requirement)
4a. Clearly detail the ultimate treatment method and disposition (non - discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Page 9 of 10
PCN Form — Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Wiil this project occur in or near an area with federally protected species or
habitat?
❑ Yes ❑ No
5b. Have you checked with the USFWS concerning Endangered Species Act
impacts?
❑ Ye ❑ No
5c. If yes, indicate the USFWS Field Office you have contacted.
"
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
8. 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?
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 (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
❑ Yes ❑ No
7b. What date sources did you use to determine whether your site would impact historic or archeological resources?
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA - designated 100 -year floodpiain?
❑ Yes ❑ No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
R,0be- r.+ C. 4Ja,01I
Applicant(Agent's Printed Name
ApplicantlAUERnts Signature
(Agenfs signature is valid only if an authorization
letter from the applicant is ovided.
10/'& 5-12a13
Date
z
Page 10 of 10