20210926 Ver 1_U-5748 EPCN Printed_20211105

11/2/21, 9:37 AM Resume Submission
https://edocs.deq.nc.gov/Forms/form/resume/791/164094 1/16
Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
June 1, 2021 Ver 4.1
Please note: fields marked with a red asterisk * below are required. You will not be able to submit the form until all mandatory questions are answered.
Also, if at any point you wish to print a copy of the E-PCN, all you need to do is right-click on the document and you can print a copy of the form.
Below is a link to the online help file.
https://edocs.deq.nc.gov/WaterResources/0/edoc/624704/PCN%20Help%20File%202018-1-30.pdf (https://edocs.deq.nc.gov/WaterResources/0/doc/603610/Page1.aspx)
County (or Counties) where the project is located:*
Add additional county
Is this a NCDMS Project *
Is this project a public transportation project?*
Is this a NCDOT Project?*
(NCDOT only) T.I.P. or state project number:
WBS #*
1a. Type(s) of approval sought from the Corps:*
Has this PCN previously been submitted?*
1b. What type(s) of permit(s) do you wish to seek authorization?*
A. Processing Information
Wake
Yes No
Click Yes, only if NCDMS is the applicant or co-applicant.
Yes No
This is any publicly funded by municipal,state or federal funds road, rail, airport transportation project.
Yes No
U-5748
50168.1.1
(for NCDOT use only)
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Yes
No
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
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1c. Has the NWP or GP number been verified by the Corps?*
Regional General Permit (RGP) Number:
Add additional RGP
RGP Numbers (for multiple RGPS):
1d. Type(s) of approval sought from the DWR:*
Pre-Filing Meeting Information
1e. Is this notification solely for the record because written approval is not required?
*
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
1f. Is this an after-the-fact permit application?*
1g. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
Yes No
201902350 - Work associated with bridge construction, widening, replaceme
List all RGP numbers you are applying for not on the drop down list.
check all that apply
401 Water Quality Certification - Regular 401 Water Quality Certification - Express
Non-404 Jurisdictional General Permit Riparian Buffer Authorization
Individual 401 Water Quality Certification
Before submitting this form please ensure you have submitted the Pre-Filing Meeting Request Form as we will not be able to accept your application without this important first step.
The Pre-Filing Meeting Request Form is used in accordance with 40 C.F.R. Section 121.4(a) “At least 30 days prior to submitting a certification request, the project proponent shall
request a pre-filing meeting with the certifying agency” and in accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5) all certification requests shall include documentation that a pre-
filing meeting request was submitted to the certifying authority at least 30 days prior to submitting the certification request. Click here (https://www.epa.gov/sites/production/files/2020-
07/documents/clean_water_act_section_401_certification_rule.pdf) to read more information on when this form is needed prior to application submission or here
(https://edocs.deq.nc.gov/Forms/DWR-Pre-Filing-Meeting-Request) to view the form.
Is this a courtesy copy notification?*
ID#Version
Pre-fling Meeting or Request Date *
Attach documentation of Pre-Filing Meeting Request here:*
Yes No
20210926 1
5/11/2021
Click the upload button or drag and drop files here to attach document
File type must be PDF
Upload
Yes No
Yes No
Yes No
If so, attach the acceptance letter from mitigation bank or in-lieu fee program.
Yes No
11/2/21, 9:37 AM Resume Submission
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Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?*
1j. Is the project located in a designated trout watershed?*
Link to trout information: http://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx (http://www.saw.usace.army.mil/Missions/Regulatory-
Permit-Program/Agency-Coordination/Trout.aspx)
1a. Who is the Primary Contact?*
1b. Primary Contact Email:*
1c. Primary Contact Phone:*
1d. Who is applying for the permit?*
1e. Is there an Agent/Consultant for this project?*
2. Owner Information
Click the upload button or drag and drop files here to attach document
FILE TYPE MUST BE PDF
×
Upload
Accept_U-5748.pdf 195.11KB
Yes No
Yes No
B. Applicant Information
NCDOT
[e-mail]
(xxx)xxx-xxxx
[phone]
Owner Applicant (other than owner)
(Check all that apply)
Yes No
2a. Name(s) on recorded deed:*
2b. Deed book and page no.:
2c. Contact Person:
2d. Address *
2e. Telephone Number:*
NCDOT
(for Corporations)
City
Raleigh
State / Province / Region
NC
Postal / Zip Code
27610
Country
USA
Street Address
1000 Birch Ridge Drive
Address Line 2
(xxx)xxx-xxxx
[phone]
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Add another owner
1a. Name of project:*
1b. Subdivision name:
1c. Nearest municipality / town:*
2a. Property Identification Number:2b. Property size:
2c. Project Address
2d. Site coordinates in decimal degrees
Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey-grade GPS device) after the decimal place as appropriate, based on how
the location was determined. (For example, most mobile phones with GPS provide locational precision in decimal degrees to map coordinates to 5 or 6 digits after the decimal place.)
Latitude:*Longitude:*
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
3b. Water Resources Classification of nearest receiving water:*
2f. Fax Number:
2g. Email Address:*
(xxx)xxx-xxxx
[e-mail]
C. Project Information and Prior Project History
1.Project Information
US401 at SR2044 (Ligon Mill Road)/SR2224(Mitchell Mill Road
(if appropriate)
Raleigh
2.Project Identification
(tax PIN or parcel ID)(in acres)
City State / Province / Region
Postal / Zip Code Country
Street Address
Address Line 2
35.886053
ex: 34.208504
-78.525907
-77.796371
Neuse River
C;NSW
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5/16
Surface Water Lookup (https://ncdenr.maps.arcgis.com/apps/webappviewer/index.html?id=6e125ad7628f494694e259c80dd64265)
3c. What river basin(s) is your project located in?*
Neuse
Add another river basin
3d. Please provide the 12-digit HUC in which the project is located. *
030202010704
River Basin Lookup (h p://ncdenr.maps.arcgis.com/apps/PublicInforma on/index.html?appid=ad3a85a0c6d644a0b97cd069db238ac3)
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:*
Land use in the vicinity consisted predominately of residential development, commercial businesses and forested
communities along the river floodplain.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
Yes No Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
7.5
4g. List the total estimated linear feet of all existing streams on the property:
(intermittent and perennial)
11,000
4h. Explain the purpose of the proposed project: *
The purpose of the proposed project is to reduce the traffic congestion and improve the operation of the intersection.
The current intersection of US 401 with Ligon Mill Road and Mitchell Mill Road operates at a poor level of service
due to large peak AM traffic volumes traveling southbound.
https://edocs.deq.nc.gov/Forms/form/resume/791/164094
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4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR.
6. Future Project Plans
6a. Is this a phased project?*
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?
This includes other separate and distant crossing for linear projects that require Department of the Army authorization but don’t require pre-construction notification.
An offset continuous flow interchange (CFI) will be constructed for Ligon Mill Road and Mitchell Mill Road at US 401.
This will be accomplished by shifting the intersection of Ligon Mill Road with US 401 approximately 1500 feet north
of its current location. The existing intersection would be closed. This new intersection would be signalized. A fourth
southbound lane would be added to US401 to accommodate additional traffic, as well as dual northbound left turn
lanes, dual eastbound left turn lanes and dual eastbound right turn lanes. A CFI interchange will be constructed at
Mitchell Mill Road at its existing location and signalized. This new interchange will require the building of a fourth
northbound lane, as well as dual southbound left turn lanes. The addition of the fourth travel lanes on US 401 will
require the widening of the existing bridges over the Neuse River. Standard road building equipment, such as trucks,
dozers and cranes will be used.
Yes No Unknown
Preliminary Approved Not Verified Unknown N/A
Example: SAW-2017-99999
SAW-2017-00321
Ron Johnson
AECOM
Field visit with USACE held on 3/10/2020 (J. Lassiter).
Yes No
D. Proposed Impacts Inventory
11/2/21, 9:38 AM Resume Submission
https://edocs.deq.nc.gov/Forms/form/resume/791/164094 7/16
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
"W." will be used in the table below to represent the word "wetland".
2a. Site #*(?)2a1 Reason *(?)2b. Impact type *(?)2c. Type of W.*2d. W. name *2e. Forested *2f. Type of
Jurisdicition *(?)
2g. Impact
area *
Add
2g. Total Temporary Wetland Impact
2g. Total Permanent Wetland Impact
Wetlands Streams-tributaries Buffers
Open Waters Pond Construction
1 Fill-Toe Protect P Bottomland Hardwood For WC Yes Both 0.001
(acres)
×
1 Mech. Clearing P Bottomland Hardwood For WC Yes Both 0.080
(acres)
×
3 Fill P Bottomland Hardwood For WE Yes Both 0.030
(acres)
×
3 Mech. Clearing P Bottomland Hardwood For WE Yes Both 0.010
(acres)
×
6 Fill P Headwater Forest WI Yes Both 0.100
(acres)
×
6 Mech. Clearing P Headwater Forest WI Yes Both 0.030
(acres)
×
8 Fill-Pipe Install P Headwater Forest WG Yes Both 0.001
(acres)
×
8 Mech. Clearing P Headwater Forest WG Yes Both 0.020
(acres)
×
10 Fill-Pipe Install P Headwater Forest WF Yes Both 0.040
(acres)
×
10 Mech. Clearing P Headwater Forest WF Yes Both 0.001
(acres)
×
12 Fill-Toe Protect P Headwater Forest WI Yes Both 0.030
(acres)
×
12 Mech. Clearing P Headwater Forest WI Yes Both 0.010
(acres)
×
(acres)
×
0.000
0.353
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2g. Total Wetland Impact
3a. Reason for impact *(?)3b.Impact
type *
3c. Type of impact *3d. S. name *3e. Stream
Type *(?)
3f. Type of
Jurisdiction *
3g. S. width *3h. Impact
length *
S1
S2
S3
S4
S5
S6
S7
S8
S9
S10
S11
S12
S13
S14
S15
0.353
2i. 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.
"S." will be used in the table below to represent the word "stream".
S2-Workpad Temporary Workpad/Causewa Neuse River Perennial Both 150
Average (feet)
171
(linear feet)
×
S2-Bank Stabilizat Permanent Bank Stabilization Neuse River Perennial Both 150
Average (feet)
91
(linear feet)
×
S4-Pipe Installatio Permanent Fill SB Perennial Both 3
Average (feet)
34
(linear feet)
×
S4-Pipe Installatio Temporary Dewatering SB Perennial Both 3
Average (feet)
14
(linear feet)
×
S5-Pipe Installatio Permanent Rip Rap Fill SC Perennial Both 3
Average (feet)
30
(linear feet)
×
S5-Pipe Installatio Temporary Dewatering SC Perennial Both 3
Average (feet)
19
(linear feet)
×
S6-Pipe Installatio Permanent Culvert SB Perennial Both 3
Average (feet)
241
(linear feet)
×
S6-Pipe Installatio Temporary Dewatering SB Perennial Both 3
Average (feet)
153
(linear feet)
×
S7-Pipe Installatio Permanent Fill SE Intermittent Both 2
Average (feet)
110
(linear feet)
×
S7-Pipe Installatio Temporary Dewatering SE Intermittent Both 2
Average (feet)
3
(linear feet)
×
S8-Pipe Outfall Permanent Bank Stabilization SB Perennial Both 3
Average (feet)
6
(linear feet)
×
S8-Pipe Outfall Temporary Dewatering SB Perennial Both 3
Average (feet)
39
(linear feet)
×
S9-Pipe Installatio Permanent Fill SB Perennial Both 3
Average (feet)
97
(linear feet)
×
S9-Stabilization Permanent Rip Rap Fill SB Perennial Both 3
Average (feet)
30
(linear feet)
×
S9-Stabilization Temporary Dewatering SB Perennial Both 3
Average (feet)
26
(linear feet)
×
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S16
S17
S18
S19
S20
S21
Add another impact
** All Perennial or Intermittent streams must be verified by DWR or delegated local government.
3i. Total jurisdictional ditch impact in square feet:
3i. Total permanent stream impacts:
3i. Total temporary stream impacts:
3i. Total stream and ditch impacts:
3j. Comments:
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. Site #*(?)4a1. Impact Reason 4b. Impact type *(?)4c. Name of waterbody (?)4d. Activity type *4e. Waterbody type *4f. Impact
area *
Add another impact
4g. Total temporary open water Impacts:
4g. Total permanent open water impacts:
4g. Total open water impacts:
S10-Pipe Installati Permanent Fill SC Perennial Both 3
Average (feet)
118
(linear feet)
×
S10-Pipe Installati Temporary Dewatering SC Perennial Both 3
Average (feet)
16
(linear feet)
×
S11-Riprap Ditch Permanent Rip Rap Fill SC Perennial Both 3
Average (feet)
31
(linear feet)
×
S11-Riprap Ditch Temporary Dewatering SC Perennial Both 3
Average (feet)
12
(linear feet)
×
S13-Pipe Installati Permanent Rip Rap Fill SB Perennial Both 3
Average (feet)
20
(linear feet)
×
S13-Pipe Installati Temporary Dewatering SB Perennial Both 3
Average (feet)
29
(linear feet)
×
0
808
482
1290
10 Drain Pond P PE Dewatering Pond 1.14
(acres)
0.00
1.14
1.14
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4h. Comments:
6. Buffer Impacts (for DWR)
If project will impact a protected riparian buffer, then complete the chart below. Individually list all buffer impacts below.
6a. Project is in which protect basin(s)?*
6b. Impact Type *(?)6c. Per or Temp *
(?)
6d. Stream name *6e. Buffer mitigation required?*6f. Zone 1 impact *6g. Zone 2
impact *
Add another impact
6h. Total buffer impacts:
Zone 1 Zone 2
Check all that apply.
Neuse Tar-Pamlico
Catawba Randleman
Goose Creek Jordan Lake
Other
2-Bridge-Allowable P Neuse River No 11,170
(square feet)
7,735
(square feet)
×
4-RoadCrossing-Allowable P SB No 2,625
(square feet)
1,836
(square feet)
×
5-RoadCrossing-Allowable P SC No 2,854
(square feet)
1,504
(square feet)
×
6-Parallel-Mitigable P SB Yes 18,329
(square feet)
11,898
(square feet)
×
12-RoadCrossing-Allowable P SB 3,447
(square feet)
2,184
(square feet)
×
7-RoadCrossing-Allowable P SE No 6,586
(square feet)
3,856
(square feet)
×
8-RoadCrossing-Mitigable P SB Yes 2,640
(square feet)
1,782
(square feet)
×
9-RoadCrossing-Allowable P SB No 8,674
(square feet)
5,347
(square feet)
×
10-RoadCrossing-Mitigable P SC Yes 48,553
(square feet)
33,525
(square feet)
×
11-RoadCrossing-Mitigable P SC Yes 2,570
(square feet)
1,528
(square feet)
×
13-Parallel-Mitigable P SB Yes 1,876
(square feet)
792
(square feet)
×
2-Utility-Allowable P Neuse River No 828
(square feet)
494
(square feet)
×
No
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Total Temporary impacts:
Zone 1 Zone 2
Total Permanent impacts:
Zone 1 Zone 2
Total combined buffer impacts:
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:*
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
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?
2c. If yes, mitigation is required by (check all that apply):
2d. If yes, which mitigation option(s) will be used for this project?
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached.
4b. Stream mitigation requested:
4c. If using stream mitigation, what is the stream temperature:
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington District's RIBITS (https://ribits.usace.army.mil/ribits_apex/f?
p=107:27:2734709611497::NO:RP:P27_BUTTON_KEY:0) website.
0.00 0.00
110,152.00 72,481.00
110,152.00 72,481.00
6i. Comments:
Mitigable impacts total Zone 1: 73,968 sqft, Zone 2: 49,525 sqft.
Wetlands in buffers Zone 1: 12,070 sqft
Utility buffer impact due to clearing for overhead utilities.
E. Impact Justification and Mitigation
NCDOT Design Standards in Sensitive Watersheds will be employed. See Stormwater
Management Plan for additional measures. The existing bridges over the Neuse River will be
retained, but widened.
Existing drainage patterns were maintained as best possible. Roadway fill slopes were
steepened where possible in an effort to minimize wetland impacts. Riprap energy dissipators
are used at pipe outlets to reduce discharge velocity to non-erosive levels.
Yes No
DWR Corps
Mitigation bank Payment to in-lieu fee program Permittee Responsible Mitigation
Yes No
(linear feet)
0 warm
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4d. Buffer mitigation requested (DWR only):4e. Riparian wetland mitigation requested:
4g. Coastal (tidal) wetland mitigation requested:
4h. Comments
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 in the table below.
6c. Reason for impact 6d. Total impact
(square feet)
Multiplier 6e. Required
mitigation (square
feet)
Zone 1
Zone 2
6j. Comments:
*** Recent changes to the stormwater rules have required updates to this section .***
1. Diffuse Flow Plan
(square feet)
111423
4f. Non-riparian wetland mitigation requested:
(acres)
0
(acres)
0
(acres)
0
Buffer mitigation supplied by NCDMS.
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 including mitigation credits generated.
Mitigation to cover impacts to jurisdictional wetlands and streams will provided through existing
NCDOT credits at Oakwood Cemetery, Jeffrey's Warehouse, and Pancho sites. See attached
documentation for additional detail.
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire form - please contact DWR for
more information.
Yes No
Parallel Impacts/Road Crossing 61,898 3 185,694
Parallel Impacts/Road Crossing 49,525 1.5 74,288
6f. Total buffer mitigation required
296192
6g. If buffer mitigation is required, is payment to a mitigation bank or NC Division of Mitigation Services proposed?
Yes No
Impacts to buffer provided by NCDMS. See attached acceptance letter.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
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1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
1b. All buffer impacts and high ground impacts require diffuse flow or other form of stormwater treatment. If the project is subject to a state implemented riparian buffer
protection program, include a plan that fully documents how diffuse flow will be maintained.
All Stormwater Control Measures (SCM)s must be designed in accordance with the NC Stormwater Design Manual (https://deq.nc.gov/about/divisions/energy-mineral-
land-resources/energy-mineral-land-permit-guidance/stormwater-bmp-manual). Associated supplement forms and other documentation shall be provided.
What type of SCM are you providing?
For a list of options to meet the diffuse flow requirements, click here
(https://files.nc.gov/ncdeq/Water%20Quality/Surface%20Water%20Protection/401/Buffer%20Clarification%20Memos/Options%20for%20Meeting%20Diffuse%20Flow%20Provisions%20o
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT’s Individual NPDES permit NCS000250?*
Comments:
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the 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 (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.)*
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)?*
3. Cumulative Impacts (DWR Requirement)
Yes No
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Other SCM that removes minimum 30% nitrogen
Proposed project will not create concentrated stormwater flow through the buffer
(check all that apply)
Yes No
G. Supplementary Information
Yes No
Yes No
Yes No
Yes No
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3a. Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact nearby downstream water quality?*
3b. If you answered “no,” provide a short narrative description.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
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?*
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
5c. If yes, indicate the USFWS Field Office you have contacted.
5d. Is another Federal agency involved?*
What Federal Agency is involved?
5e. Is this a DOT project located within Division's 1-8?*
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?*
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.ncdcr.gov/hpoweb/ (http://gis.ncdcr.gov/hpoweb/)
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
Implementation of the proposed Build Alternative would not contribute, in conjunction with past,
present, or future projects, to substantial adverse cumulative effects on resources in the study
areas.
Yes No N/A
Yes No
Yes No
Raleigh
Yes No Unknown
NMFS
Yes No
( )p g , g ,
Identified Stream Reach for Neuse River waterdog, madtom, dwarf wedgemussel and Atlantic pigtoe. Critical
habitat for waterdog. Construction will adhere to the PBO and payment will be made to the NC Nongame Aquatic
Species Fund for being critical habitat for Neuse River waterdog. PBO for NLEB.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat? *
Yes No
NMFS county index
Yes No
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7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https://msc.fema.gov/portal/search (https://msc.fema.gov/portal/search)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?*
Comments
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.
*
· 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.
NEPA documentation
Yes No
NCDOT Hydraulics Unit coordination with FEMA
FEMA maps
Miscellaneous
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