20220149 Ver 1_ePCN Application_20220126

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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*
Version#*
20220149
1
Is a payment required for this project?
No payment required
What amout is owed?*
Fee received
$240.00
Fee needed - send electronic notification
$570.00
Reviewing Office*
Select Project Reviewer*
Raleigh Regional Office - [phone]
Colleen Cohn:eads\cmcohn
Information for Initial Review
1a. Name of project:
Campus at 587 Phase 2 Sewer Extensions
la. Who is the Primary Contact?*
Jeff Harbour
1 b. Primary Contact Email: * 1c. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
1 /26/2022
Nearest Body of Water
Toisnot Swamp
Basin
Neuse
Water Classification
C, Sw; NSW
Site Coordinates
Latitude: Longitude:
35.6702-77.8445
A. Processing Information
County (or Counties) where the project is located:
Wilson
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)

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:
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
58 - Utility Line Activities for Water and Other Substances (frequently used)
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:
Wilson County Properties
2b. Deed book and page no.:
2c. Contact Person:
Jennifer Lantz
2d.Address
Street Address
PO Box 728
Address Line 2
City
Wilson
Postal / Zip Code
27894
2e. Telephone Number:
[phone]
2g. Email Address:
[e-mail]
401 Water Quality Certification - Express
Riparian Buffer Authorization
State / Province / Region
NC
Country
US
2f. Fax Number:
Yes No
Yes No
U

4. Agent/Consultant (if applicable)
4a. Name:
Jeff Harbour
4b. Business Name:
Terracon
4c.Address
Street Address
2401 Brentwood Rd
Address Line 2
Suite 107
City
Raleigh
Postal / Zip Code
27604
4d. Telephone Number:
(919)8054208
4f. Email Address:"
[e-mail]
C. Proiect Information and Prior Proiect History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Wilson
2. Project Identification
State / Province / Region
NC
Country
US
4e. Fax Number:
2a. Property Identification Number: 2b. Property size:
3740-21-6471
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:
Toisnot Swamp
3b. Water Resources Classification of nearest receiving water:*
C, Sw; NSW
3c. What river basin(s) is your project located in?*
Neuse
3d. Please provide the 12-digit HUC in which the project is located.
030202030303
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:*
Undeveloped land that has been used for agriculture. Owned by City of Wilson. Land use is agricultural, residential and light industrial
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:
4
4g. List the total estimated linear feet of all existing streams on the property:
220
4h. Explain the purpose of the proposed project:
The Ph 2 extension consists of approximately 2,560 LF of 12" gravity sewer line to serve the northwest side of the Campus at 587

41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:"
Construct approximately 2,560 feet of 12 inch sewer line as part of the infrastructure for the Campus at 587 site, which is under development by the Wilson Economic Development
Commission. No indirect impacts, other that wetland conversion are anticipated. Typical equipment will be used such as excavators, dump trucks, etc.
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): Rhiannon Graham
Agency/Consultant Company: Terracon
Other:
6. Future Project Plans
6a. Is this a phased project?*
Yes No
6b. If yes, explain.
Phase 1 of this sewer extension was designed to have no impacts that required 404 permitting. NCDEQ is issuing the ESC permit for Phase 1. Phase 1 incurred some buffer impacts only
and those have been authorized per the project engineer.
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?
No
D. Proposed Impacts Inventory u
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*
2f. Type of Jurisdicition"
2g• Impact
area
W1a
sewer easement
P
Headwater Forest
W1a
Yes
Both
0.019
(acres)
W1b
sewer easement
P
Headwater Forest
W1b
Yes
Both
0.077
W1d
sewer easement
P
Headwater Forest
W1d
Yes
Both
(acres)
0.095
(acres)
W2
sewer easement
P
Headwater Forest
W2
Yes
Both
0.195
(acres)
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.000 0.386
2g. Total Wetland Impact
0.386
21. Comments:
Impacts resulting from wetland conversion; not fill. Applicant would like to propose 1.5:1 mitigation ratio because impact is conversion only.
6. Buffer Impacts (for DWR)

6a. Project is in which protect basin(s)?
Check all that apply.
Nauss
Catawba
Goose Creek
Other
Tar -Pamlico
Randleman
Jordan Lake
6b. Impact Type
6c. Per or Temp
6d. Stream name
6e. Buffer mitigation required?
6f. Zone 1 impact
6g. Zone 2 impact
Deemed Allowable
P
UT Toisnot Swamp
No
1,111
6,324
6h. Total buffer impacts:
Zone 1
Zone 2
Total Temporary impacts: 0.00
0.00
Zone 1
Zone 2
Total Permanent impacts: 1,111.00
6,324.00
Zone 1 Zone 2
Total combined buffer impacts: 1,111.00 6,324.00
6i. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The project design demonstrates avoidance of stream crossing impacts and has minimized wetland impacts as much as practicable based on site
topography. The width of the permanent maintenance corridor in wetland areas has been minimized.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Impacts inside of wetlands will be minimized by working from matts when necessary to minimize ground disturbance. The wetland conversion areas will
be revegetated with a native herbaceous wetland seed mix
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
2c. If yes, mitigation is required by (check all that apply):
DWR Corps
2d. If yes, which mitigation option(s) 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/Requested (attach receipt and letter)
Type: Quantity:
3c. Comments
currently seeking SOA from an approved mitigation bank; will submit under separate cover when received.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
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 No
U

What type of SCM are you providing?
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
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:
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
1 b. 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 No
Comments: *
Project is compliant with SEPA Minimum Criteria
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 No
3. 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.
There are currently no development plans that are anticipated to result in indirect impacts to downstream water quality
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
5d. Is another Federal agency involved?*
Yes No Unknown
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

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?
Terracon biologists also conducted a field investigation, which included a habitat assessment. January 26, 2022 NCNHP report lists no occurrences of
protected species within at least 1 mile 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?"
Yes No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?
NOAA EFH map
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?*
A NR listed house is located (WL0696 I Edmundson-Woodard House (NR: 1986)) is located southeast of the project site
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
Yes No
8c. What source(s) did you use to make the floodplain determination?*
FEMA maps
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 dreg and drop files here to attach document
Campus at 587 Wetland and Buffer Impacts Permit Drawings for PCN.pdf 8.99MB
File must be PDF or KMZ
Comments
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:
Jeff Harbour
Signature
Date
1 /26/2022

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