20220082 Ver 1_ePCN Application_20220113

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Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
December 6, 2021 Ver 4.2
Initial Review
Has this project met the requirements for acceptance in to the review process?*
Yes
No
Is this project a public transportation project?*
Yes No
Change only if needed.
BIMS # Assigned*
20220082
Is a payment required for this project?
No payment required
Fee received
Fee needed - send electronic notification
Select Project Reviewer*
Doug Perez:eads\djperez
Information for Initial Review
1a. Name of project:
COURTESY COPY PNG Providence Road Alternate Supply Line 223 Project
la. Who is the Primary Contact?*
Pinkney Bynum
1 b. Primary Contact Email:
[e-mail]
Date Submitted
1/13/2022
Nearest Body of Water
West Fork Twelvemile Creek
Basin
Catawba
Water Classification
Class C
Site Coordinates
Latitude: Longitude:
34.963610-80.755382
A. Processing Information
County (or Counties) where the project is located:
Union
Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No
1a. Type(s) of approval sought from the Corps:
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Version# *
1
Reviewing Office*
Mooresville Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
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Has this PCN previously been submitted?*
Yes
No
1 b. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit (NWP) Number: 12 - Utility Lines
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
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:
For the record only for Corps Permit:
1f. 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?
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1 h. Is the project located in any of NC's twenty coastal counties?
Yes No
1j. Is the project located in a designated trout watershed?
Yes No
B. Applicant Information
1d. Who is applying for the permit?
Owner Applicant (other than owner)
le. Is there an Agent/Consultant for this project?
Yes No
2. Owner Information
2a. Name(s) on recorded deed:
Piedmont Natural Gas Company
2b. Deed book and page no.:
7247 563
2c. Contact Person:
Pinkney Bynum
2d.Address
Street Address
4720 Piedmont Row Drive
Address Line 2
City
Charlotte
Postal / Zip Code
28210
2e. Telephone Number:
[phone]
2g. Email Address:
[e-mail]
401 Water Quality Certification - Express
Riparian Buffer Authorization
State / Province / Region
NC
Country
USA
2f. Fax Number:
Yes No
Yes No
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4. Agent/Consultant (if applicable)
4a. Name:
Richard Harmon
4b. Business Name:
Wood Environment & Infrastructure Solutions, Inc.
4c.Address
Street Address
4021 Stirrup Creek Dr., Ste 100
Address Line 2
City
Durham
Postal / Zip Code
27703
4d. Telephone Number:
[phone]
4f. Email Address:"
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1 b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Waxhaw, NC
2. Project Identification
State / Province / Region
NC
Country
USA
4e. Fax Number
2a. Property Identification Number: 2b. Property size:
72.5
2c. Project Address
Street Address
Address Line 2
City State / Province / Region
Postal / Zip Code Country
3. Surface Waters
3a. Name of the nearest body of water to proposed project: "
West Fork Twelvemile Creek
3b. Water Resources Classification of nearest receiving water:"
Class C
3c. What river basin(s) is your project located in?*
Catawba
3d. Please provide the 12-digit HUC in which the project is located.
030501030201
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 project area is comprised of agricultural land, upland hardwood forest, and mixed pine hardwood. Land uses included managed cropland (hay fields) and open areas. The principal
cultivated crop was millet (Sorghum bicolor). Open areas were vegetated with common species of (orbs, grasses, vines, and/or tree and shrub seedlings/saplings.
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:
1.07
4g. List the total estimated linear feet of all existing streams on the property:
2,774 (1,323 intermittent, 1,451 perennial)
4h. Explain the purpose of the proposed project:
The project purpose is to establish a redundant supply to an existing natural gas distribution system and reduce pressure losses along Providence Road South.
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41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:"
PNG's Providence Road — Alternate Supply Line 223 Project is a 1.5-mile 12-inch steel pipeline project to extend the current transmission Line 223 from its current termination point on
Cuthbertson Road (State Route 1321) in Union County. The transmission main will be continued to Providence Road South and a regulator station will be installed at that point. The
pipeline will be constructed as a new alignment with a new 50-foot permanent easement and an additional 30-foot temporary workspace, and temporary/permanent access roads.
Construction equipment that will be used for the project includes, but is not limited to bulldozers, backhoes, cranes, dump trucks, tractor trailers, and light duty pickup trucks.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No Unknown
Comments
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company: Wood EMS
Other:
6. Future Project Plans
6a. Is this a phased project?*
Yes No
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?
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries Buffers
Open Waters Pond Construction
2. Wetland Impacts
2a1 Reason (?)
2b. Impact type* (?)
2c. Type of W.*
2d. W. name*
2e. Forested*
r.) Type of Jurisdiciti��2g.
Impact
area
W1
clearing
L
Non -Tidal Freshwater Marsh
WETLAND A (W1)
No
Both
0.095
acres)
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.095 0.000
2g. Total Wetland Impact
0.095
21. Comments:
SEE ATTACHED PERMIT DRAWINGS AND CROSS -SECTIONS. Wetland A (W1) is a herbaceous wetland with disturbance due to livestock
3. Stream Impacts
11
S7
3a. Reason for impact (?)
HDD no impact
P
3b.lmpact type*
Tem ora
P rY
3c. Type of impact*
Other
3d. S. name* ��30.
S-1
Stream Type*
?)
Intermittent
3f. Type of
Jurisdiction*
Both
3g. S. width*
2
Average (feet)
3h. Impact
length*
0
Qinear feet)
gp
utility crossing
Temporary
Dewatering
West Fork Twelvemile tIff::]
Both
h;;;J�J
31. Total jurisdictional ditch impact in square feet:
0

31. Total permanent stream impacts:
0
31. Total stream and ditch impacts:
191
3j. Comments:
SEE ATTACHED PERMIT DRAWINGS AND CROSS -SECTIONS.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
3i. Total temporary stream impacts:
191
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Appropriate avoidance and practicable minimization efforts have been conducted through the engineering design process. The proposed project and
access routes were designed to avoid impacts to Waters of the U.S. through siting and/or horizontal directional drilling (HDD). However, unavoidable
impacts to onsite waters of the U.S. are necessary to complete the proposed action. These impacts have been minimized to the minimum area
necessary to construct the pipeline, and all proposed impacts are temporary. Because the proposed impacts to wetlands and streams are minimal and
temporary, no compensatory mitigation for the impacts is proposed.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Where possible, HDD technology was used to avoid stream crossings. For the proposed West Fork Twelvemile Creek stream crossing, a temporary dam
pumparound system will be used to limit impacts to the stream. Access roads and work areas were sited to avoid construction vehicle operation in
streams or wetlands except where necessary.
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 this project DOES NOT require Compensatory Mitigation, explain why:
The proposed project requires 191 LF stream and 0.095-acres wetland for temporary impacts.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the INC Riparian Buffer Protection Rules?
Yes No
If no, explain why:
The ESC approval under the NCG (general construction) SW permit will be used.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?
Yes No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
Yes No
Comments:
The ESC approval under the NCG (general construction) SW permit will be used.
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
Yes No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 211 .0500), Isolated Wetland Rules (15A NCAC 211 .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
Yes No
I Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?
Yes No

3b. If you answered "no," provide a short narrative description.
The pipeline will be constructed as designed with no further development.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
Yes No 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 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.
Asheville
5d. Is another Federal agency involved?*
Yes No
5e. Is this a DOT project located within Division's 1-8?
Yes No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
Yes No
5g. Does this project involve bridge maintenance or removal?
Yes No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
Yes No
Unknown
51. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
Yes No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS IPaC, Consultation Code 04EN1000-2021-SLI-0471
NC Dept of Natural and Cultural Resources, NCNHP Consultation Code NCNHDE-14318
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat? *
Yes No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?
EFH Mapper (https://www.habitat.noaa.gov/apps/efhmapper/efhreporU)
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 No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
The cultural resources records review indicate there is one previously recorded archaeological site located within the project area. The records search of
the NCHPO and NCOSA files show that there are 26 previously recorded archaeology sites and three historic structures within the one -mile APE. A
review of historic USGS and archival maps of Union County indicates the absence of any potential historic structures within the project area.
Based on the results of this cultural resources review, the proposed pipeline is not expected to impact any known historic resources. The known
archaeology site located within the proposed corridor is recommended not eligible and does not require any additional work nor avoidance. National
Register of Historic Places; Historic Preservation Office Web Service (HPOWEB) maintained by NC Historic Preservation Office (NCHPO); data
inventory and library housed at NC Office of State Archaeology (NCOSA); NCDA. 1814. Soil map, North Carolina, Union County sheet. Retrieved from
hftps:Hdc.lib.unc.edu/cdm/ref/collection/ncmaps/id/285 February 19, 2021; USGS. 1968. Catawaba NE, South Carolina. 1:24,000 quad map; USGS.
1970. Waxhaw, North Carolina. 1:24,000 quad map
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
Yes No
8b. If yes, explain how project meets FEMA requirements:
The project consists of the installation of a below -ground pipeline and will not result in above -grade fills.
8c. What source(s) did you use to make the floodplain determination?*
FEMA Flood Insurance Rate Map Panel 3710447400J (10/16/2008)
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 document
PERMIT DRAWINGS Line-223 DRAFTpdf
File must be PDF or KMZ
6.05MB
Comments
ATTACHMENTS: PERMIT DRAWINGS, PRE -FILING NOTICE, AGENCIES CORRESPONDENCE/CONCURRENCE, REFERENCED DOCUMENTS.
Signature
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:
Julia Tillery
Signature
✓CZ/ L7.11.6
Date
1/13/2022