20201658 Ver 2_ePCN Application_20220301

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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*
20201658
Is a payment required for this project?
No payment required
Fee received
Fee needed - send electronic notification
Reviewing Office*
Wilmington Regional Office - [phone]
Information for Initial Review
1a. Name of project:
NCDOT Highway 17 Distribution Relocation - Ramsey Road
la. Who is the Primary Contact?*
Jeremy Meads
1 b. Primary Contact Email:
Jeremy. [e-mail]
Date Submitted
3/1/2022
Nearest Body of Water
Wolf Swamp
Basin
White Oak
Water Classification
C; NSW
Site Coordinates
Latitude:
34.810293
A. Processing Information
County (or Counties) where the project is located:
Onslow
Is this a NCDMS Project
Yes No
Longitude:
-77.390152
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# *
2
What amout is owed?*
$240.00
$570.00
Select Project Reviewer*
John Perry:eads\jmperry2
1c. Primary Contact Phone:*
[phone]

Has this PCN previously been submitted? °t
Yes
No
Please provide the date of the previous submission.*
11 /13/2020
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 401 Water Quality Certification - Express
Non-404 Jurisdictional General Permit Riparian Buffer Authorization
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: Yes No
For the record only for Corps Permit: Yes No
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
11. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
Yes No Unknown
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:
Multiple landowners. List and parcel map included.
2b. Deed book and page no.:
2c. Contact Person:
2d.Address
Street Address
Multiple landowners.
Address Line 2
City
Jacksonville
Postal /Zip Code
12345
State / Province / Region
North Carolina
Country
United States

2e. Telephone Number:
[phone]
2g. Email Address:'
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Piedmont Natural Gas
3b. Business Name:
3c. Address
Street Address
105 Impact Boulevard
Address Line 2
City
Elizabeth City
Postal / Zip Code
27909
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Patrick Meier
4b. Business Name:
Burns & McDonnell
4c.Address
Street Address
4480 Cox Road
Address Line 2
Suite 300
City
Glen Allen
Postal / Zip Code
23060
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:
Jacksonville
2. Project Identification
2a. Property Identification Number:
2c. Project Address
Street Address
Address Line 2
City
Postal / Zip Code
2f. Fax Number:
State / Province / Region
North Carolina
Country
United States
3e. Fax Number
State / Province / Region
Virginia
Country
United States
4e. Fax Number
2b. Property size:
State / Province / Region
Country

3. Surface Waters
3a. Name of the nearest body of water to proposed project:"
Wolf Swamp
3b. Water Resources Classification of nearest receiving water:"
C; NSW
3c. What river basin(s) is your project located in?*
White Oak
3d. Please provide the 12-digit HUC in which the project is located.
030203020201
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: *
Piedmont Natural Gas was given previous authorization under a Nationwide Permit 12 (NWP12) to construct the Ramsey Road segment of the Highway 17 North Carolina Department of
Transporation (NCDOT) Distribution Replacement Project (Project) near the City of Jacksonville in Onslow County, North Carolina.
Based on review of a post -construction as -built survey for the Project, it was determined that a deviation from the original design occurred during construction. This deviation resulted in an
increase of total wetland impact acreage from what was previously authorized.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?
Yes No Unknown
If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW-0000-00000).
Corps Action ID - SAW-2020-02021
DWR Water Quality Certification Number - 20201658
4f. List the total estimated acreage of all existing wetlands on the property:
2.77
4g. List the total estimated linear feet of all existing streams on the property:
142.74
4h. Explain the purpose of the proposed project:
The Project was constructed as a replacement for an existing natural gas distribution pipeline that extends along Highway 17. This portion of pipeline was decommissioned and removed
due to a NCDOT project involving Highway 17. The NCDOT project consisted of widening and reconfiguring Highway 17, and the existing pipeline was relocated to allow for the expansion.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The Project consisted of installing approximately 16,922 linear feet of 8-inch medium -dense polyethylene (MDPE) natural gas distribution pipeline. Construction was utilized through open
trenching, horizontal directional drilling (HDD), and auger bore methods. The Project consisted of using heavy construction equipment (e.g., excavators, dozers, scrapers, side booms,
etc.). The Project is located along a 3.19-mile section of Ramsey Road (Route 1324) and Kellum Loop Road, northeast of the City of Jacksonville. The Project route starts approximately
0.17 miles east of the intersection of Route 1324 and Carolina Forest Boulevard, proceeds east along Route 1324 for approximately 3.12 miles, turns southeast and proceeds for 0.17
miles along
Kellum Loop Road, and ends at New Bern Highway (Highway 17). The Project spanned across wetlands and tributaries associated with Wolf Swamp. The majority of the construction
easement was located within existing maintained utility easements.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No Unknown
Comments:
PJD request was submitted with original PCN on 11/13/2020
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
SAW-2020-02021
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Patrick Meier
Agency/Consultant Company: Burns & McDonnell
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
1 /27/2021
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 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
W-1
Wetland Conversion
P
Unknown
W-1A
No
Corps
0.460
(acres)
W-1
Work Area
T
Non -Tidal Freshwater Marsh
W-16
No
Corps
0.160
(acres)
W-2
Work Area
T
Non -Tidal Freshwater Marsh
W-2A
No
Corps
0.001
W-2
Wetland Conversion
P
Non -Tidal Freshwater Marsh
W-26
No
Corps
(acres)
0.030
W-2
Work Area
T
Non -Tidal Freshwater Marsh
W-2C
No
Corps
(acres)
0.010
W-3
Wetland Conversion
P
Non -Tidal Freshwater Marsh
W-3A
No
Corps
(acres)
0.360
W-3
Work Area
T
Non -Tidal Freshwater Marsh
W-36
No
Corps
(acres)
0.070
(acres)
W-4
Wetland Conversion
P
Non -Tidal Freshwater Marsh
W 4A
No
Corps
0.100
W-4
Work Area
T
Non -Tidal Freshwater Marsh
W413
No
Corps
(acres)
0.020
(acres)
W-5
Wetland Conversion
P
Non -Tidal Freshwater Marsh
W-5A
No
Corps
0.210
W-5
Work Area
T
Non -Tidal Freshwater Marsh
W-56
No
Corps
(acres)
0.030
W-6
Work Area
T
Non -Tidal Freshwater Marsh
W-6A
No
Corps
(acres)
0.060
W-7
Pipeline Maintenance
P
Non -Tidal Freshwater Marsh
W-7A
No
Corps
(acres)
0.030
(acres)
W-7
Work Area
T
Non -Tidal Freshwater Marsh
W-7B
No
Corps
0.001
(acres)
W-8
Work Area
T
Non -Tidal Freshwater Marsh
W-8A
No
Corps
0.290
(acres)
W-9
Work Area
T
Non -Tidal Freshwater Marsh
W-9A
No
Corps
0.002
(acres)
W-10
Work Area
T
Non -Tidal Freshwater Marsh
W-10A
No
Corps
0.002
(acres)
2g. Total Temporary Wetland Impact
0.646
2g. Total Wetland Impact
1.836
2g. Total Permanent Wetland Impact
1.190
21. Comments:
Project was originally authorized under a NWP12 for 1.05 acres of permanent wetland conversion impacts. Based on review of as -built survey, the
Project resulted in 1.19 acres of permanent wetland conversion impacts, which is an increase of 0.14-acre. See uploaded aquatic resource impacts table
in Miscellaneous section for wetland impacts. Permanent impacts are wetland conversion impacts from PSS to PEM for post -construction pipeline
maintenance. Permanent lost of waters did not occur as a result of the Project.
3. Stream Impacts

3a. Reason for impact (?)
3b.lmpact type*
3c. Type of impact*
3d. S. name*
3e. Stream Type*
3f. Type of
3g. S. width*
3h. Impact
?)
Jurisdiction*
length*
S1
Pipeline Install
Temporary
Other
S-1
Perennial
Corps
20
21
Average (feet)
Qinear feet)
S2
Pipeline Install
Temporary
Other
JD-03
Jurisdictional Ditch
Corps
19
Average (feet)
pinearfeet)
S3
Pipeline Install
Temporary
Other
JD-04
Jurisdictional Ditch
Corps
18
Average (feet)
pinear feet)
S�
Pipeline Install
Temporary
Other
JD-09
Jurisdictional Ditch
Corps
22
Average (feet)
(linear feet)
SS
Pipeline Install
Temporary
Other
JD-11
Jurisdictional Ditch
Corps
10
70
Average (feet)
(linear feet)
S6
Pipeline Install
Temporary
Other
JD-12
Jurisdictional Ditch
Corps
12
Average (feet)
(linear feet)
31. Total jurisdictional ditch impact in square feet:
894
31. Total permanent stream impacts:
0
31. Total stream and ditch impacts:
162
3i. Total temporary stream impacts:
162
3j. Comments:
The Project was originally authorized under a NWP 12 for 87.06 linear feet (LF) of temporary impacts to jurisdictional (JD) ditches and 30.41 LF of
temporary impacts to stream channels. Based on review of the as -built survey, the Project resulted in 139.60 LF of impacts to JD ditches and 21.17 LF
of impacts to stream channels. This is an increase of 52.54 LF of JD ditch impacts and a reduction of -9.24 stream channel impacts. See uploaded
aquatic resource impacts table in Miscellaneous section for jurisdictional ditch and stream impacts.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Avoidance and minimization of impacts to wetlands and other waterbodies was attempted by routing the pipeline within and adjacent to already existing
and maintained utility and NCDOT easements. The temporary work area and permanent maintenance easement were kept as narrow as possible to
minimize disturbances during construction and maintenance.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The majority of impacts were temporary, and the Project did not result in a loss of wetlands or other waterbodies. The pipeline was partially installed
using HDD, which means the permanent pipeline easement did not require earth work. Construction matting was utilized within wetland areas to
minimize disturbance. An approved and certified erosion and sediment control plan was provided to the contractor for proper implementation of BMPs.
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:
Project did not result in permanent net loss to wetlands. Mitigation was not requested with original NWP12 authorization.
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
If no, explain why:
Project is not located within a protected riparian buffer basin.
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
1a. 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 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
2b Provide an explanation of the violation(s):
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.
Project is a single utility relocation and is not being conducted in anticipation of future developments.
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.
Raleigh
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
5i. 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?
IPaC database and USFWS Consultation and Concurrence. Obtained during permit authorization in 2020.
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 Interactive Mapper.
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?*
HPOWEB and Consultation Request Letter to SHPO. Obtained during permit authorization in 2020.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplairl
Yes No
8b. If yes, explain how project meets FEMA requirements:
Project will not result in change of existing grade. Pipeline to be constructed below ground and disturbances will be restored upon completion.
8c. What source(s) did you use to make the floodplain determination?*
FEMA Floodplain Map
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
HWy 17 Ramsey Wetland Mod Cover Letter 2-23-2022.pdf
198.77KB
Aquatic Resources Impacts Tables.pdf
125.45KB
Hwy17 Ramsey Road Original Impacts _11072020.pdf
3.56MB
RamseyRd_Figures_Revised 2-2022.pdf
5.61 MB
Ramsey-Corps-Wetlands-SAW-2020-02021.pdf
5.39MB
Ramsey-NCDEQ-Wetlands-20201658 Ver 1_Approval Letter_20210203.pdf
1.17MB
Ramsey Road PINs.pdf
52.65KB
AGENT_AUTHORIZATION_FORM (Signed).pdf
1.16MB
File must be PDF or KMZ
Comments
Construction deviation from original plan identified in post -construction as -built survey. Deviation resulted in larger wetland impact totals. No permanent net loss of wetlands occurred.
Attached is a letter providing a description of the modification. See attached aquatic resource impacts tables and impact figures for comparison.
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:
Patrick K. Meier
Signature
04C_ewlwl
Date
3/1/2022