20131254 Ver 1_401 Application_20131213

Dewberry
Dewberry Engineers Inc.
2301 Rexwoods Drive, Suite 200
Raleigh, NC 27607 -3366
919.881.9939
919.881.9923 fax
www.dewberry.com
December 2, 2013
Ms. Karen Higgins
401 and Buffer Permitting Unit
NC Division of Water Resources
1650 Mail Service Center
Raleigh, North Carolina 27699 -1650
Reference: City of Oxford
Wastewater Treatment Plant Equalization Tank
Water Quality Certification 3884 Applications rr*--�
Dewberry Project No. 5005�7o69
Dear Ms. Higgins:
Enclosed are five copies of a Pre - Construction Notification (PCN) Permit Application Package for the City
of Oxford Wastewater Treatment Plant Equalization Tank project. For your review we have enclosed five
copies of the PCN Application Form, Attachment A — Additional Information, USGS Quadrangle Map, site
plan, and the $240.00 application fee.
The project titled "Wastewater Treatment Plant Equalization Tank" consists of installing approximately
800LF of force main piping and gravity sewer that crosses perpendicular to and continues parallel to an
Unnamed Tributary to Foundry Branch.
The construction described in this permit application will result in approximately 1,945 square feet of
Zone 1 and approximately 4,602 square feet of Zone 2 buffer impacts within a maintained utility easement
and 25 linear feet of stream disturbance.
Please contact me with any questions regarding this permit application.
Sincerely,
Dewberry Engineers Inc.
Marco Menendez, P.E.
Senior Associate
Enclosures �5 @�
CC: Larry Thomas, City of Oxford
P: \50057o69 \Adm \Permits \DWR - 401 Permit \DWR Cover Letter.doex J 204 3
e

O�O� W A T<cAOG
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Page 1 of 10
PCN 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:
❑X Section 404 Permit ❑ Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: 12 or General Permit (GP) number:
1 c.
Has the NWP or GP number been verified by the Corps?
❑ Yes ❑X No
1 d.
Type(s) of approval sought from the DWQ (check all that apply):
❑X 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑X Riparian Buffer Authorization
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes ❑X No
For the record only for Corps Permit:
❑X 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 ❑X No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes ❑X No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ❑X No
2.
Project Information
2a.
Name of project:
City of Oxford Wastewater Treatment Plant Equalization Tank
2b.
County:
Granville
2c.
Nearest municipality / town:
Oxford
2d.
Subdivision name:
2e.
NCDOT only, T.I.P. or state project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
City of Oxford
3b.
Deed Book and Page No.
184 -237 and 194 -142
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address:
300 Williamsboro Street D
3e.
City, state, zip:
Oxford, NC 27565
3f.
Telephone no.:
919 - 603 -1113
3g.
Fax no.:
919 - 603 -1107
3h.
Email address:
Ipthomas @oxfordnc.org D i
Page 1 of 10
PCN Form — Version 1.4 January 2009

4
Applicant Information (if different from owner)
4a
Applicant is
❑ Agent ❑ Other, specify
4b
Name
4c
Business name
(if applicable)
4d
Street address
4e
City, state, zip
4f
Telephone no
4g
Fax no
4h
Email address
5
Agent/Consultant Information (if applicable)
5a
Name
Marco Menendez, PE
5b
Business name
(if applicable)
Dewberry Engineers Inc
5c
Street address
2301 Rexwoods Drive, Suite 200
5d
City, state, zip
Raleigh, NC 27607
5e
Telephone no
919 424 3731
5f
Fax no
919 881 9939
5g
Email address
mmenendez @dewberry com
Page 2 of 10

B
Project Information and Prior Project History
1
Property Identification
1a
Property identification no (tax PIN or parcel ID)
192219355210, 192203336933, 192203334330
lb
Site coordinates (in decimal degrees)
Latitude 36 2894 Longitude -78 581
1c
Property size
2078 acres
2
Surface Waters
2a
Name of nearest body of water to proposed project
UT to Foundry Branch
2b
Water Quality Classification of nearest receiving water
C, NSW
2c
River basin
Tar Pamlico
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 existing site is a wastewater treatment plan (WWTP) The majority of the site is grassed with an intermittent stream running across the site from
east to west The existing site is located at 1649 New Commerce Drive, Oxford, NC
3b
List the total estimated acreage of all existing wetlands on the property 0
3c
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property 518
3d Explain the purpose of the proposed project
See Attachment A for details
3e Describe the overall project in detail, including the type of equipment to be used
See Attachment A for details
4
Jurisdictional Determinations
4a
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
❑ Yes ❑ No ❑X Unknown
Comments
4b
If the Corps made the jurisdictional determination, what type
of determination was made?
❑ Preliminary ❑ Final
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 ❑ No ❑X Unknown
5b
If yes, explain in detail according to "help file" instructions
6
Future Project Plans
6a
Is this a phased project?
❑ Yes ❑X No
6b
If yes, explain
Page 3 of 10
PCN Form — Version 1 4 January 2009

C. Proposed Impacts Inventory
1 Impacts Summary
la Which sections were completed below for your project (check all that apply)
❑ Wetlands X❑ Streams — tributaries ❑X 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
2c
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
W3
Choose one
Choose one
Yes /No
W4
Choose one
Choose one
Yes /No
W5
Choose one
Choose one
Yes /No
W6
Choose one
Choose one
Yes /No
2g 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 P
Utility Crossing
UT to Foundry Branch
INT
DWQ
22
15
S2 T
Utility Crossing
UT to Foundry Branch
INT
DWQ
22
10
S3
Choose one
S4
Choose one
S5
Choose one
S6
Choose one
3h Total stream and tributary impacts
25
31 Comments
Page 4 of 10
PCN Form — Version 1 4 January 2009

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 indivii ually list all open water impacts below
4a
Open water
impact number
Permanent (P) or
Temporary T
4b
Name of waterbody
(if applicable)
4c
Type of impact
4d
Waterbody
type
4e
Area of impact (acres)
01
Choose one
Choose
02
Choose one
Choose
03
Choose one
Choose
04
Choose one
Choose
4f Total open water impacts
4g Comments
5 Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below
5a
Pond ID number
5b
Proposed use or
purpose of pond
5c
Wetland Impacts (acres)
5d
Stream Impacts (feet)
5e
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f Total
5g Comments
5h Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no
51 Expected pond surface area (acres)
5j Size of pond watershed (acres)
5k Method of construction
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 mill ation, then vou MUST fill out Section D of this form
6a Project Is in which protected basin?
❑ Neuse ❑X Tar - Pamlico ❑ Catawba ❑ Randleman ❑ Other
6b
Buffer Impact
number —
Permanent (P) or
Temporary
6c
Reason for impact
6d
Stream name
6e
Buffer
mitigation
required?
6f
Zone 1
impact
(square
feet )
6g
Zone 2
Impact
(square
feet
61 P
Utility Crossing
UT to Foundry Branch
No
550
884
132 P
Utility Crossing
UT to Foundry Branch
No
452
2,042
63 T
Utility Crossing
UT to Foundry Branch
No
652
186
B4 T
Utility Crossing
UT to Foundry Branch
No
291
1,490
B5
Yes /No
B6
Yes /No
6h Total Buffer Impacts
1,945
4,602
61 Comments
Page 5 of 10

D
Impact Justification and Mitigation
1
Avoidance and Minimization
la Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
See Attachment A for additional information
lb Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
See Attachment A for additional information
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 ❑X 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 if Using a Mitigation 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 Making a Payment to In -lieu Fee Program
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
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
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
buffer mitigation
Yes Z No El
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
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)
6h Comments
Page 7of10

E
Stormwater Management and Diffuse 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?
lb
If yes, then is a diffuse flow plan included? If no, explain why
Protect area is less than 1 acre and does not necessitate storm water collection
❑ Yes ❑X No
2
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
0
2b
Does this project require a Stormwater Management Plan?
❑ Yes ❑X No
2c
If this project DOES NOT require a Stormwater Management Plan, explain why
Disturbed area will be less than 1 acre
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 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 Supply Watershed
0 Other Not Required
3c
Has the approved Stormwater Management Plan with proof of approval been
El Yes ❑ No
attached?
4
DWQ Stormwater Program Review
E]Coastal counties
❑HQW
4a
Which of the following state - implemented stormwater management programs apply
❑ORW
(check all that apply)
❑Session Law 2006 -246
Z Other Not Required
4b
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
5
DWQ 401 Unit Stormwater Review
5a
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1 4 January 2009

F
Supplementary Information
1
Environmental Documentation (DWQ Requirement)
la
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
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 ❑X No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b
Is this an after - the -fact permit application?
❑ Yes ❑X No
2c
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s)
3
Cumulative Impacts (DWQ Requirement)
3a
Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes ❑X 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 (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
No
wastewater will be generated during this project
Page 9 of 10
PCN Form — Version 1 4 January 2009

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 ❑ No
5b Have you checked with the USFWS concerning Endangered Species Act
impacts?
❑ Yes ❑ 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?
6 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 data 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 floodplain?
❑ Yes X❑ No
8b If yes, explain how project meets FEMA requirements
8c What source(s) did you use to make the floodplain determination?
Map # 3720192200J Panel # 1922
Applicant/Agent's Printed Name
Date
A plicant/Agent's Signature
(Agent's signature is valid only if an authorization
letter from the applicant is provided
Page 10 of 10

Attachment A —Additional Information
B 3 3 d Explain the purpose of the proposed project
The purpose of the project is to install approximately 800 LF of force main piping and gravity sewer to
convey wastewater between a new equalization pump station at the head of the plant and a new
equalization tank
B 3 3e Describe the overall project in detail, including the type of equipment to be used
The construction of this project will require excavation for the installation of force main piping and gravity
sewer connecting anew equalization tank to the existing WWTP Standard excavating equipment will be
used
D 1 la Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
Utility crossing will cross stream at a 90 degree angle Temporary zone 1 impacts are anticipated during
construction and will be minimized to the extent possible Limits of construction will be established to
minimize the overall disturbed area on site All permanent zone 1 impacts are related to the
perpendicular pipe installation All work will take place "in the dry" through the use of a temporary
stream diversion or pump around The east and west stream bank will be returned to its original grade
after installation of the utility crossing
D 1 1b Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques
Construction will take place inside the limits of disturbance Ground cover will be reestablished as soon as
possible via reseeding Erosion control devices will be installed prior to construction and all construction
will take place "in the dry "

Nor (�
Project Site: 0 0.125 0.25 0.5
1:15,000 Latitude: 36.2894 Miles
Longitude: - 78.5810
City of Oxford Wastewater Treatment
Plant Equalization Tank

E
■D
C
E
f
g�
SLi
2
3
BkN c ciNC A550Cl
B OgT
SnfW C 2)
)
W
INIA9EIt 9?ZD]..]fie9
1
/
1
I A4
Z�
I UrP /
1 /\
so/
1
I
I
SLOW I r
BLDG
ELEC
BOX
TOP 41 ©0 I IU I i I I
1 /
W# I I I I I I /yyl
aI i
I li I �ly I
I LEVEL
I S 1
\ I
CITY OF OXFORD 7/
P 0 BOX 506 °s 1
OXFORD NC 27565
MAP NUMBER 192210355210
GP
I I
ELEV2404 89 I I Io
1
B1 =550 SF OF
884 SF ZONE 2
Ol
ELECID
3
ELEC I C-- WOOD FQO-
BOX Wo / o i IBRIDGE I
/IMPACTS I� `( I� CRANE I 1
S OP OF
1 BANK I
BARSCR Z'�PANEL
COL 1 I 1 EAM I
RIT COLLEC fOR F{ 1
BLOWER, I I
] � ` , 2 =10 LF I
SAMPLE
u
u"' — uGE COLLECTI011 — 1 1 =15 LF
P rxe ! — DGE� -
- L E-
P
\ cOLU-11
\N 't
93 =652 SF OF ZONE 1 IMP/
186 SF OF ZONE 2 IMPACTS
IU/JCLE REDCMLY N LtG I F TEL NGHwaY 8B LL<
]DC '.EISNIL`S DMrE
calr Yc nsl, .w rsNenuc 2 sync ].D
YAP NuuSR t911D]y9156 N' 3)91
u.I
YUYBFA 9:ZOJ.3t5.2
CHAINLINK FENCE
13 0 P'P ASPHALT
/'4�� _`moo \\ -���`� � \��`• \`�� \� `� I
,ya SHELTER
(/ BUILDING
ELEC
IIIIII DLUY Box
LOW AREA�7
r
412 841-1
i
GRASS
I
\ \'a GRASS
CITY OF OXFORD
OXFORD BOX 27565
MAP NUMBER 192203336933
�I 6• I /
SD
I\<>I \
I � ASPHALT I
LEV 02 70 ASPHALT I V_ � '- v%L I
EN AU
S'[ — SD -j:F SD — — — SD — — D — BENCHMARK
#
PANEL TOP NUN 41 49
I \
uGE— --STE 1V�T UCE— Box I \\ \
N \ \
tA
PIF
Ln EXISTING O CIDAIIO14 DITCH \ \
I =291 SF OF ZONE 1 IMPACTS
1 490 SF OF ZONE 2 IMPACTS
ww ? f+IJ110E PIPING NOTES
E 13
1 30 20 1 in— — — Ss 18 =PAS may'
`S -- ss - --
._
i I I BUILDING
-T\
ZP 25, I / \ ASPHALT
1 U E —I — DG —I- .GE E9
0
ml "y CATE
I `104 YEAR zNrFOODPLAIN BOUNDARY
B2 =452 SF OF ZONE 1 IMPACTS
2 042 SF OF ZONE 2 IMPACTS
1 20' EQUALIZATION FORCE MAIN SHALL BE RESTRAINED JOINT DIP
2 24' EQUALIZATION TANK OVERFLOW SHALL BE PUSH ON JOINT DIP WrTH MECHANICAL
RESTRAINT AT EACH FITTING /BEND
I
3 3 -8' NON- POTABLE WATER MAIN SHALL BE MECHANICAL JOINT DIP
FO Dewberry®
Dewberry EngUteere Inc
2DWI ROM= WINE
surf
IAIEgH mc
PNWNE. YIaaol G401.W]Y
FAKYIG9EIipS
NC8E18 �Oim
a
�ZQQ
DO
HaZ
oL)
< - o
WW~
X=
°cc
��n� oZ
�D
jQQ
O
H W
O
SEAL
KEY PLAN
SCALE
FINAL DRAWING
FOY i@VIEW PDNOBPA WNLY
NOf IPlBABHDIrOR NAHIIIICTON
No DATE 8Y I Dewnp6on
REVISIONS
DRAWN BY DS /DL
APPROVED M8W /RPA
CHECKED BY MM
DATE 12/02/2013
TRUE SITE PLAN,
STREAM AND,
BUFFER
IMPACTS
PROJECT NO 50057069
SHEET NO 1 OF 1